Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06257 | Date 10/02/2024 |
| Token No | SM/22-23/18512 10/02/2024 | Serial | 073 |
| Patient Name | Master SUMIT DAS | Contact No | |
| Address | 70/D PRAVASHNAGAR SERAMPORE 712249 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||